Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.87 / $2,572.00 / $6,915.00	Facility		$165.87	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $210.49 / $391.48	Professional		$110.57	$210.49	$391.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $214.45 / $365.42	Professional		$117.32	$214.45	$365.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $236.97 / $442.34	Professional		$134.80	$236.97	$442.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.08 / $231.08 / $231.08	Facility		$231.08	$231.08	$231.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $104.25 / $104.25	Professional		$104.25	$104.25	$104.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.55 / $338.00 / $546.00	Facility		$162.55	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $223.06 / $456.76	Professional		$128.58	$223.06	$456.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $212.97 / $348.90	Professional		$129.12	$212.97	$348.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $266.07 / $368.48	Professional		$154.63	$266.07	$368.48
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $246.82 / $446.84	Professional		$172.03	$246.82	$446.84